Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

San Diego Dermatology and Cosmetic Surgery Medical Group, Inc

Organization Dermatology Physician · NPI 1447334396

San Diego Dermatology and Cosmetic Surgery Medical Group, Inc is a Dermatology Physician in San Diego, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6367 Alvarado Ct Ste 107
San Diego, CA 92120-4904
Phone: (619) 287-1882
Fax: (619) 287-4121
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence G83901 (CA)

Record details

NPI number1447334396
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Fred Shahan — President · (619) 287-1882
NPI enumeratedOctober 25, 2006
Last updated in NPPESDecember 26, 2012
Mailing address6367 Alvarado Ct, Suite 107, San Diego, CA 92120-4904

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